Dawn Marie Petrovick

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

16985 W Bluemound Rd
Brookfield, WI 53005-5909

Phone

(262) 641-8400

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dawn Marie Trzebiatowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1831701150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 S 98TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271441",
            "telephone_number": "414-339-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16985 W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055909",
            "telephone_number": "262-641-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVICK",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "TRZEBIATOWSKI",
            "middle_name": "MARIE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Britt Ann Peterson, PH.D.
• Julia H Peterson, LPC
• Susan Mary Peterson, RN
• Tara Anne Peterson, PNP
• Nancy Petroske, RN
• Tara Petrozelli-Howe, LPC-IT
• Tracy Pfannerstill, P.T.
• Rose C Pham, DDS
• Tony Pham, LPC, NCC
• Marsha Phelima, DC

• Massage Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.